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Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

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November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid

November 30, 2022 - Study US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. Citation Text: Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic…

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet

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June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. Citation Text: Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

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April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

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October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…

Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

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November 18, 2016 - Study Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patien…

Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. | PSNet

psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental

November 29, 2023 - Study Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. Citation Text: Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…

Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. | PSNet

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August 12, 2019 - Study Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. Citation Text: Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…

The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. | PSNet

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December 15, 2021 - Study The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. Citation Text: Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…

Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. | PSNet

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May 25, 2022 - Study Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. Citation Text: Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. J Peria…

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

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January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

Medication-administration errors in an urban mental health hospital: a direct observation study. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study

September 03, 2014 - Study Medication-administration errors in an urban mental health hospital: a direct observation study. Citation Text: Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). | PSNet

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September 30, 2020 - Study The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Citation Text: Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. | PSNet

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October 28, 2020 - Review Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Citation Text: Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. | PSNet

psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration

February 14, 2006 - Commentary STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. Citation Text: Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…

Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet

psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening

October 13, 2018 - Commentary Defining, estimating, and communicating overdiagnosis in cancer screening. Citation Text: Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. Copy Citation …

Medication errors in intensive care units: an umbrella review of control measures. | PSNet

psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures

February 09, 2022 - Review Medication errors in intensive care units: an umbrella review of control measures. Citation Text: Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcar…

Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse

October 19, 2022 - Study Classic Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. Citation Text: Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital

November 26, 2014 - Study Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Citation Text: Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

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